| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $4,761.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $1,054.00 | $5,342.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $161.05 | $232.37 | $232.37 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |